Active NPI
Sanchez de Fuentes and Real MD PA
- Specialist
- Kissimmee, FL
National Provider Identifier
1801974548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0063371
- Legal business name
- SANCHEZ DE FUENTES AND REAL MD PA
- Practice address
- 1170 Cypress Glen Circle
Hunter'S Creek Professional Park
Kissimmee, FL 34741-4998 - Phone
- (407) 847-6166
- Fax
- (407) 847-5112
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard A Real, M.D.
- Title
- President
- Phone
- (407) 847-6166
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0063371 | FL | Primary |
Addresses
Primary practice location
1170 Cypress Glen Circle
Hunter'S Creek Professional Park
Kissimmee, FL 34741-4998
Mailing address
1170 Cypress Glen Cir
Hunter'S Creek Professional Park
Kissimmee, FL 34741-7560
Phone (407) 847-6166
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376506700 | Medicaid | FL | |
| DB00330 | Other | FL | RAILROAD MEDICARE |
| 1174528236 | Other | FL | PERSONAL NPI NUMBER |
| K351 | Other | FL | MEDICARE GROUP |
| ME0063371 | Other | FL | STATE MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1801974548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 CYPRESS GLEN CIR",
"address_2": "HUNTER'S CREEK PROFESSIONAL PARK",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417560",
"telephone_number": "407-847-6166",
"fax_number": "407-847-5112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 CYPRESS GLEN CIRCLE",
"address_2": "HUNTER'S CREEK PROFESSIONAL PARK",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414998",
"telephone_number": "407-847-6166",
"fax_number": "407-847-5112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANCHEZ DE FUENTES AND REAL MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "REAL",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-847-6166",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME0063371",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376506700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DB00330",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI NUMBER",
"identifier": "1174528236",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "K351",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "ME0063371",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.